The Wharton Club of Northeast Ohio
The Wharton Club of Northeast Ohio

Membership Dues Payment Form

To maximize participation, we have voluntary membership dues. You can select the level of contribution you wish to make from the options below. We hope this ensures your active participation in the Club.

Required fields in red
Name:
Class Year: (e.g. W '05)
Home Address:
City:
State:
Zip Code:
Phone:
E-Mail:
Business School
Affiliation:

Optional Business Information:
Company:
Title
Business Address:
City:
State:
Zip:
Business Phone:
Business Email:

Dues Contribution: 0 to 10 Years Post Graduation - $35
  General Member - $75
  Other (enter amount below; any amount is welcome)
      $
Total:

Payment Information:
Credit Card: American Express    MasterCard    VISA
Card Number:
Exp. Date: (mm/yy)
Name On Card:
   

If printing this registration form, please include your credit card information and fax to 216-696-2582, or include your check (made payable to Wharton Club NEO) and mail to:

Wharton Club of Northeast Ohio
1120 Chester Avenue, #470
Cleveland, OH 44114

The Wharton Club of Northeast Ohio
Official Member of the Global Wharton School Clubs Network
© Copyright Wharton Club of Northeast Ohio, ALL RIGHTS RESERVED.
 
Banner photo by C.J. Peters